Evidence map›Paper›PMID 34665885›Full record

ArticleMedical physics2021

Block-matching-based registration to evaluate ultrasound visibility of percutaneous needles in liver-mimicking phantoms.

Juan A Sánchez-Margallo, Lisette Tas, Adriaan Moelker, John J van den Dobbelsteen, Francisco M Sánchez-Margallo, Thomas Langø, Theo van Walsum, Nick J van de Berg

Abstract read
In one paragraph

Article in Medical physics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Juan A Sánchez-MargalloBioengineering and Health Technologies Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain.
Lisette TasDepartment of Biomechanical Engineering, Delft University of Technology, Delft, The Netherlands.
Adriaan MoelkerDepartment of Radiology & Nuclear Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
John J van den DobbelsteenDepartment of Biomechanical Engineering, Delft University of Technology, Delft, The Netherlands.
Francisco M Sánchez-MargalloScientific Direction, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain.
Thomas LangøSINTEF, Medical Technology, Trondheim, Norway.
Theo van WalsumBiomedical Imaging Group Rotterdam, Department of Radiology & Nuclear Medicine, Erasmus MC, University Medical Center Rotterdam, The Netherlands.
Nick J van de BergDepartment of Radiology & Nuclear Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.

Funding

European Regional Development Fund (ERDF) GR18199European Regional Development Fund (ERDF) TA18023Junta de Extremadura (Spain)Norwegian National Advisory Unit for Ultrasound and Image-Guide Therapy at St. Olavs Hospital (Norway)ZonMw Program Innovative Medical Devices Initiative (IMDI) Life Sciences and Health 104003015
6 · The paper itself

Abstract

purposeTo present a novel methodical approach to compare visibility of percutaneous needles in ultrasound images.

methodsA motor-driven rotation platform was used to gradually change the needle angle while capturing image data. Data analysis was automated using block-matching-based registration, with a tracking and refinement step. Every 25 frames, a Hough transform was used to improve needle alignments after large rotations. The method was demonstrated by comparing three commercial needles (14G radiofrequency ablation, RFA; 18G Trocar; 22G Chiba) and six prototype needles with different sizes, materials, and surface conditions (polished, sand-blasted, and kerfed), within polyvinyl alcohol phantom tissue and ex vivo bovine liver models. For each needle and angle, a contrast-to-noise ratio (CNR) was determined to quantify visibility. CNR values are presented as a function of needle type and insertion angle. In addition, the normalized area under the (CNR-angle) curve was used as a summary metric to compare needles.

resultsIn phantom tissue, the first kerfed needle design had the largest normalized area of visibility and the polished 1 mm diameter stainless steel needle the smallest (0.704 ± 0.199 vs. 0.154 ± 0.027, p < 0.01). In the ex vivo model, the second kerfed needle design had the largest normalized area of visibility, and the sand-blasted stainless steel needle the smallest (0.470 ± 0.190 vs. 0.127 ± 0.047, p < 0.001). As expected, the analysis showed needle visibility peaks at orthogonal insertion angles. For acute or obtuse angles, needle visibility was similar or reduced. Overall, the variability in needle visibility was considerably higher in livers.

conclusionThe best overall visibility was found with kerfed needles and the commercial RFA needle. The presented methodical approach to quantify ultrasound visibility allows comparisons of (echogenic) needles, as well as other technological innovations aiming to improve ultrasound visibility of percutaneous needles, such as coatings, material treatments, and beam steering approaches.

Indexed as

NeedlesUltrasonography, InterventionalAnimalsCattleLiverPhantoms, ImagingUltrasonographyblock-matching-based registrationbovine liver modelcontrast-to-noise ratioexperimental methodsHough transformneedle interventionspolyvinyl alcoholultrasoundvisibility

Identifiers

PMID34665885
PMCPMC9298012

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.